SummarySmart growth is an approach to urban planning that provides a framework for making community development decisions. Despite its growing use, it is not known whether smart growth can impact physical activity. This review utilizes existing built environment research on factors that have been used in smart growth planning to determine whether they are associated with physical activity or body mass. Searching the MEDLINE, Psycinfo and Web-of-Knowledge databases, 204 articles were identified for descriptive review, and 44 for a more in-depth review of studies that evaluated four or more smart growth planning principles. Five smart growth factors (diverse housing types, mixed land use, housing density, compact development patterns and levels of open space) were associated with increased levels of physical activity, primarily walking. Associations with other forms of physical activity were less common. Results varied by gender and method of environmental assessment. Body mass was largely unaffected. This review suggests that several features of the built environment associated with smart growth planning may promote important forms of physical activity. Future smart growth community planning could focus more directly on health, and future research should explore whether combinations or a critical mass of smart growth features is associated with better population health outcomes.
In 1996, Los Angeles voters passed the park bond measure, Proposition K, to increase and enhance park and recreation space in the city. Using information on the distribution of existing parks in the City of Los Angeles and census data, this report provides a statistical analysis of access to park space enjoyed by children and youth, and by residents according to their race/ethnicity and socioeconomic status. Further, a mapping of Prop. K grant allocations by location reveals the extent to which the distribution of Prop. K funds has increased access to parks for residents most in need of park space.
Increasing rates of childhood obesity in the U.S. and other Western countries are cause for serious public health concern. Neighborhood and community environments are thought to play a contributing role in the development of obesity among youth, but it is not well understood which types of physical environmental characteristics have the most potential to influence obesity outcomes. This paper reports the results of a systematic review of quantitative research examining built and biophysical environmental variables associated with obesity in children and adolescents through physical activity. Literature searches in PubMed, PsychInfo, and Geobase were conducted. Fifteen quantitative studies met the inclusion criteria for this systematic review. The majority of studies were cross-sectional and published after 2005. Overall, few consistent findings emerged. For children, associations between physical environmental variables and obesity differed by gender, age, socioeconomic status, population density, and whether reports were made by the parent or child. Access to equipment and facilities, neighborhood pattern (e.g., rural, exurban, suburban), and urban sprawl were associated with obesity outcomes in adolescents. For most environmental variables considered, strong empirical evidence is not yet available. Conceptual gaps, methodological limitations, and future research directions are discussed.
Geographic research on parks has been wide-ranging but has seldom examined how and why people use parks, leaving these questions to leisure science, which privileges socio-demographic variables over urban socio-spatial explanations (eg, historical, political-economic, and location factors). This article examines recent geographic perspectives on park use, drawing upon environmental justice, cultural landscape, and political ecology paradigms to redirect our attention from park users to a more critical appreciation of the historical, socio-ecological, and political-economic processes that operate through, and in turn shape, park spaces and park-going behaviors. We challenge partial, user-orientated approaches and suggest new directions for geographic research on parks.
The objective of the research was to assess how proximity to parks and recreational resources affects the development of childhood obesity through a longitudinal study. Data were collected on 3173 children aged 9–10 from 12 communities in Southern California in 1993 and 1996. Children were followed for eight years to collect longitudinal information, including objectively measured body mass index (BMI). Multilevel growth curve models were used to assess associations between attained BMI growth at age 18 and numerous environmental variables, including park space and recreational program access. For park acres within a 500 meter distance of children’s homes, there were significant inverse associations with attained BMI at age 18. Effect sizes were larger for boys than for girls. Recreation programs within a 10 km buffer of children’s homes were significantly and inversely associated with achieved levels in BMI at age 18, with effect sizes for boys also larger than those for girls. We conclude that children with better access to park and recreational resources are less likely to experience significant increases in attained BMI.
We present a pragmatic approach to assist planners in addressing racial inequities in park access. Utilizing the Los Angeles metropolitan region as an example, we used Thiessen polygons to delineate a service area for each park, and described potential park congestion or 'pressure' in each park service area. Results show that Latinos, AfricanAmericans, and low-income groups in general were likely to live close to parks with higher potential park congestion. On the other hand, predominantly White, high-income areas were typically located close to parks with lower potential park congestion levels. The park service area analysis presented here facilitates the identification of areas with greater park need and provides a pragmatic way to redress existing disparities in park access. Built into a set of webbased decision support tools, the approach fosters greater community participation and empowers local stakeholders in the process of park provision.
BackgroundBiologically plausible mechanisms link traffic-related air pollution to metabolic disorders and potentially to obesity. Here we sought to determine whether traffic density and traffic-related air pollution were positively associated with growth in body mass index (BMI = kg/m2) in children aged 5–11 years.MethodsParticipants were drawn from a prospective cohort of children who lived in 13 communities across Southern California (N = 4550). Children were enrolled while attending kindergarten and first grade and followed for 4 years, with height and weight measured annually. Dispersion models were used to estimate exposure to traffic-related air pollution. Multilevel models were used to estimate and test traffic density and traffic pollution related to BMI growth. Data were collected between 2002–2010 and analyzed in 2011–12.ResultsTraffic pollution was positively associated with growth in BMI and was robust to adjustment for many confounders. The effect size in the adjusted model indicated about a 13.6% increase in annual BMI growth when comparing the lowest to the highest tenth percentile of air pollution exposure, which resulted in an increase of nearly 0.4 BMI units on attained BMI at age 10. Traffic density also had a positive association with BMI growth, but this effect was less robust in multivariate models.ConclusionsTraffic pollution was positively associated with growth in BMI in children aged 5–11 years. Traffic pollution may be controlled via emission restrictions; changes in land use that promote jobs-housing balance and use of public transit and hence reduce vehicle miles traveled; promotion of zero emissions vehicles; transit and car-sharing programs; or by limiting high pollution traffic, such as diesel trucks, from residential areas or places where children play outdoors, such as schools and parks. These measures may have beneficial effects in terms of reduced obesity formation in children.
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